Individual provider Active NPI

Nelly N Dedi Djopgang

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1740779347
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA13632 Issued in DC
Practice address
1220 12TH St SE Ste G35
Washington, DC 20003-3738
Phone
(202) 544-8090
Fax
(202) 544-8091
NPI assigned
May 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA13632 DC Primary

Addresses

Primary practice location

1220 12TH St SE Ste G35
Washington, DC 20003-3738

Mailing address

10520 Lime Tree Way
Beltsville, MD 20705-2032
Phone (240) 938-3188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HHA13632DCMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Home Healthcare Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1740779347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10520 LIME TREE WAY",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052032",
            "telephone_number": "240-938-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 12TH ST SE STE G35",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033738",
            "telephone_number": "202-544-8090",
            "fax_number": "202-544-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDI DJOPGANG",
        "first_name": "NELLY",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA13632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.